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1033609078
PORTIA WILSON
LOS ANGELES, CA
NPI
1033609078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17207)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
PORTIA WILSON LAc
255 S GRAND AVE APT 2417
LOS ANGELES, CA 90012-3047
Phone number: 323-796-8081
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Mailing Address
PORTIA WILSON LAc
255 S GRAND AVE APT 2417
LOS ANGELES, CA 90012-3047
Phone number: 323-796-8081
Copy
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